Severe Right Heart Failure In A Patient With Peripartum Cardiomyopathy And Large Secundum Atrial Septal Defect

We present a challenging case of a young female with an atrial septal defect who developed pulmonary hypertension in the setting of peripartum cardiomyopathy.A 22 year-old African-American female status-post normal spontaneous vaginal delivery 2 months ago presented to the hospital with a 2-month history of dyspnea, orthopnea, bilateral leg swelling, and paroxysmal nocturnal dyspnea. She had no hypoxemia or cyanosis.
Source: Journal of Cardiac Failure - Category: Cardiology Authors: Tags: 450 Source Type: research